| NPI | 1861653149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-126238) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054592) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-05-02 |